Veterans Affairs Canada Facts & Figures

Transcription

1 Veterans Affairs Canada Facts & Figures September 207 Edition i Please read the important disclaimer on the inside cover. Ce livre est disponible en français.

2 Disclaimer Departmental client and expenditure forecasts are used to support official budgetary requests to adjust annual funding levels and spending authorities for Veteran programs and services as well as to track actual client intake and program usage in terms of both number of clients and dollars expended. Forecasts are updated annually while expenditure tracking is reflected quarterly where possible. These numbers will not reconcile precisely with other published financial reports as listed below, due to timing of the information, the level of detailed reporting across the various programs and focus on program spending only. Departmental regular operating budget and expenditures are not included under program spending. Forecasts may not correspond to approved departmental budget amounts. In these cases, funding adjustments may be sought through future Estimates cycles to ensure appropriate funding so that all Veterans receive their rightful benefits and services. More detail on the Department's expenditure plan and actual expenditures can be found as follows:. The Departmental Plan (DP) (previously known as the Report on Plans and Priorities) Departmental Plan describes departmental priorities, strategic outcomes, programs, expected results and associated resource requirements, covering a three-year period beginning with the year indicated in the title of the report. 2. The Departmental Results Report (DRR) (previously known as the Departmental Performance Report) is a departmental account of actual performance for the most recently completed fiscal year against the plans, priorities and expected results set out in the respective Departmental Plan. DRRs inform Parliamentarians and Canadians of the results achieved by government organizations for Canadians. 3. Quarterly Financial Reports (QFR) for departments and agencies consist of financial tables comparing planned and actual expenditures for both the quarter and year-to-date, as well as comparative information for the preceding fiscal year. Each report includes spending authorities granted through the Main and Supplementary Estimates, as well as any allotment transfers approved by Treasury Board that have become available for use by the institution at the end of the quarter. 4. The Public Accounts of Canada is the report of the Government of Canada prepared annually by the Receiver General. The report covers the financial transactions of the Government during the year. VAC Facts and Figures Book Page 2 September 207

3 Contents: VAC Facts & Figures Facts & Figures Summary... Summary of Program Recipients... Summary of Program Expenditures... Analysis of VAC Facts and Figures as at September 30, VAC Program Trends... Highlights of Trends... CHAPTER : Demographics.... Estimated Veteran Population by Province....2 Estimated Veteran Population by Average Age....3 Veterans and survivors served by VAC (Unique)....4 Total Number of Veterans by Gender, Service Type, and Age....5 Veterans served by Area Office... Page CHAPTER 2: Departmental Spending Program and Operating Expenditures Departmental Budget... CHAPTER 3: Program Expenditure Overview Expenditures by Program... CHAPTER 4: Disability Benefits Disability Benefits Recipients Disability Pension Recipients Disability Pension Expenditures Disability Award Recipients Disability Award Expenditures Disability Award and Disability Pension Duals Recipients by Disability Class Most Common Medical Conditions Most Common Conditions - First Applications Completed Disability Benefits - (First Application) Decisions and Favourable Rates Critical Injury Benefit Recipients and Expenditures... CHAPTER 5: Health Care Programs Treatment Benefits Recipients Treatment Benefits and Other Health Purchased Services Expenditures Veterans Independence Program Recipients Veterans Independence Program Expenditures Long Term Care (LTC) Recipients and Expenditures Rehabilitation Program: Eligible Recipients and Expenditures Family Caregiver Relief Benefit Recipients and Expenditures VAC Facts and Figures Book Page 3 September 207

4 Contents: VAC Facts & Figures CHAPTER 6: Financial Benefits Earnings Loss Recipients and Expenditures Career Impact Allowance Recipients and Expenditures Supplementary Retirement Benefit Recipients and Expenditures Retirement Income Support Benefit Recipients and Expenditures Canadian Forces Income Support Program Recipients and Expenditures War Veterans Allowance Recipients War Veterans Allowance Expenditures... Page CHAPTER 7: Career Transition Services Career Transition Services Recipients and Expenditures... CHAPTER 8: Mental Health Veterans in Receipt of Disability Benefits with Psychiatric Disability Veterans with Mental Health Conditions by Age and Gender Mental Health - Quick Facts... CHAPTER 9: Afghanistan Veterans Afghanistan Deployed Members (Unique) Afghanistan Veterans in Receipt of VAC Benefits Afghanistan Veterans by Age Afghanistan Veterans in Receipt of Disability Benefits by Disability Class Afghanistan Veterans in Receipt of Disability Benefits - Mental Health Conditions Afghanistan Veterans - Quick Facts... CHAPTER 0: Service Delivery Case Managed Veterans Telephony Results - National Contact Centre Network (NCCN) and Medavie... CHAPTER : Appeals - Disability Pensions and Awards.... Total Cases Completed by Bureau of Pension Advocates... CHAPTER 2: Human Resources Historical Full Time Equivalents (FTE) Numbers VAC Facts and Figures Book Page 4 September 207

5 Summary of Program Recipients Program Percentage Change Sept Forecast Forecasted Percentage Change Traditional Programs Disability Pensions 32,30 24,48 6,03-6.5% 2,972 08, % Treatment Benefits 84,083 8,689 79,964-2.% n/a 2 79, % Veterans Independence Program (VIP) 96,722 93,558 90, % n/a 2 89, % War Veterans Allowance 2,798 2,445 2,5-2.0%,962, % New Veterans Charter Programs Disability Awards 50,723 57,35 63,599.0% 65,762 70,00 0.2% Rehabilitation & New Veterans Charter (NVC) Support Services 7,340 8,65, % 2,685 4, % Earnings Loss 4,823 5,746, % 3,350 5, % Career Impact Allowance (CIA) 2,293 3,743 6,0 60.6% 6,755 8, % Canadian Forces Income Support % % Supplementary Retirement Benefit % % Career Transition Services/Grant % % Retirement Income Security Benefit (RISB) n/a % % Critical Injury Benefit n/a % % Family Caregiver Relief Benefit (FCRB) n/a % % Included in Other Health Purchased Services (OHPS) 2 n/a - Program recipients are only reported on an annual basis 3 n/a - Program was implemented in Facts & Figures Summary September 207 Edition Summary of Program Expenditures Program (in $ millions) Percentage Change Sept Forecast Forecasted Percentage Change Traditional Programs Disability Pensions $,473.4 $,404.3 $, % $655.2 $, % Other Health Purchased Services (incl. Treatment Benefits) $480.9 $57. $ % $259.5 $ % Veterans Independence Program $363. $352.6 $ % $60. $ % War Veterans Allowance $8.5 $7.5 $ % $3. $ % New Veterans Charter Programs Disability Awards $472.6 $660.0 $ % $,049.0 $, % Rehabilitation & NVC Support Services $2.2 $26.8 $ % $6.0 $ % Earnings Loss $56.4 $80.3 $ % $96.7 $ % Career Impact Allowance $34.2 $5.5 $ % $55.9 $ % Canadian Forces Income Support $0.6 $0.9 $. 22.2% $0.7 $ % Supplementary Retirement Benefit $0. $0. $ % $0.2 $ % Career Transition Services/Grant 2 $0.0 $0.0 $ % $0.0 $ % Retirement Income Security Benefit n/a 3 $0.3 $ % $0.4 $. 20.0% Critical Injury Benefit n/a 3 $7.9 $ % $0.4 $ % Family Caregiver Relief Benefit n/a 3 $.3 $2. 6.5% $.3 $ % VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance 2 Some expenditures are too low to round to millions. Actuals can be found on Table n/a - Program was implemented in VAC Facts and Figures Book Page 5 September 207

6 Analysis of VAC Facts and Figures as at September 30, 207 As of March 3, 207, VAC estimated the total Veteran population in Canada to be 658,400, consisting of 58,00 War Service (WS) Veterans and 600,300 Canadian Armed Forces (CAF) Veterans. Both the WS and CAF Veteran populations are forecasted to decline through the next five years, but the decline in WS Veterans is expected to outpace the decline in CAF Veterans. Veterans served by VAC account for approximately 8% of the Veteran population in Canada. As of March 3, 207 VAC served 25,06 (43%) of the WS Veteran population and 93,23 (6%) of the CAF Veteran population. In addition, VAC provided benefits to 5,47 WS survivors, 9,560 CAF survivors, and administers benefits on behalf of 3,427 RCMP members or former members and their survivors. Overall, total VAC clients (Veterans and survivors) decreased by.4% in 206-7; this trend is expected to continue. The forecasted decrease is the result of expected decreases in WS Veteran (-20%) and WS survivor (-7%) clients. CAF Veteran and survivor clients are expected to increase by 5% over the next year. VAC Program Trends Overall, VAC s program expenditures increased in by 5%, from $3,237.9 million in to $3,398.2 million in Expenditures are expected to increase by 29.3% in to $4,393.0 million and this trend is expected to continue over the next five years. Traditional Programs Total expenditures for traditional programs serving WS Veterans and Survivors - Disability Pensions, and War Veterans Allowance (WVA) have declined in recent years. The decline is mainly due to decreasing numbers of WS Veterans and survivors. Expenditures for the Veterans Independence Program (VIP) have declined for the same reason. While expenditures in Other Health Purchased Services (OHPS) had been declining until 204-5, expenditures increased in The increase was driven by an increase in use of Treatment Benefits. New Veterans Charter (NVC) Programs NVC clients and expenditures have increased each year since implementation of the NVC on April, Clients and expenditures for every NVC program including the three largest [Disability Awards (DA), Earnings Loss Benefits (ELB), and Career Impact Allowance (CIA)], are expected to increase throughout the forecast period, except for Critical Injury Benefit (CIB), which was introduced in VAC Facts and Figures Book Page 6 September 207

7 Analysis of VAC Facts and Figures as at September 30, 207 /cont'd Highlights of Trends Earnings Loss Benefit On October, 206, VAC began issuing Earnings Loss Benefits (ELB) at 90% of pre-release salary instead of 75% which had been in place since This change had an immediate impact as all recipients who were already in receipt of ELB received increases, and many who were not in receipt due to other income started receiving payments. Monthly expenditures for the first six months of were less than $20 million each month. Monthly expenditures since the changes have averaged $25 million per month. Enhancements to the Earnings Loss Program have increased the demand on the Rehabilitation Program as a Veteran is required to be in the Rehabilitation Program to be eligible for Earnings Loss Benefits. Rehabilitation and Earnings Loss clients were,787 and,625 respectively as of March 3, 207, exceeding the forecasted numbers of 9,900 and 7,400 for the fiscal year ending March 3, 207. Career Impact Allowance (CIA) In April 207, the Permanent Impairment Allowance (PIA) was renamed to Career Impact Allowance (CIA) in order to better reflect the program intent of providing compensation for loss of earnings capacity due to a service related injury or illness. The first significant growth in CIA occurred in 20, when VAC introduced changes to allow individuals in receipt of a Disability Pension to qualify for CIA; prior to that, only clients with a Disability Award could qualify. VAC also introduced a $,000 monthly supplement to those CIA clients who were also deemed to have a Diminished Earnings Capacity (DEC). As of March 207, about 57% of CIA clients were in receipt of the supplement. CIA expenditures for came in under the forecasted amount of $86.6 million. As of April, 207, a new grading scheme was implemented for CIA, which gave access to higher grade levels for some clients. The result is that a greater proportion of clients are in Grades and 2 than previous to the change. Grade increased from 0.5% to approximately % of CIA clients upon implementation of the new grading system. Grade 2 clients increased from 9.4% to approximately one-third or 33% of CIA clients. This resulted in a smaller ratio of clients in the lowest paying grade 3, changing from 90.% to approximately two-thirds or 66%. This is in effect for all current and future clients, and will contribute to higher expenditures. It is expected that awareness of this change may also generate more interest in the benefit from those not currently in receipt of CIA, resulting in a gradual increase in clients, as there has been no change to current eligibility. Other Health Purchased Services (OHPS) OHPS expenditures increased by $73 million from to This increase was attributable to increased Treatment Benefits and payments for cannabis for medical purposes, a trend which is expected to continue in Disability Awards During 206-7, Disability Award (DA) payments were $700 million which was an increase of 6% from $660 million in This increase in expenditures was due to an % increase in DA clients from and an increase in average expenditures. DA clients are forecast to increase by another 0% in Expenditures are forecast to be $,677.0 million in Included in the DA expenditure forecast is an increase in the maximum DA to $360,000 as of April, 207 and one-time retrospective payments that amount to an estimated $723. million and will be paid by March 3, 208. VAC Facts and Figures Book Page 7 September 207

8 Chapter : Demographics The estimated Veteran population tables below include all Veterans who are VAC clients, as well as those who are not. These estimates were calculated using the life tables released by Statistics Canada in 206. Table. Estimated Veteran Population by Province Province War Service Veterans (Second World War, Korean War) Canadian Armed Forces Veterans (Regular and Primary Reserve) Total Estimated Veterans Newfoundland and Labrador 300 5,300 5,600 Prince Edward Island 400 3,700 4,00 Nova Scotia 3,000 39,000 42,000 New Brunswick 2,300 28,500 30,800 Quebec 4,500 6,800 2,300 Ontario 24,400 25, ,700 Manitoba 2,500 9,000 2,500 Saskatchewan,900 4,700 6,600 Alberta 5,000 65,000 70,000 British Columbia 2,700 8,00 93,800 Territories 0,900,900 Foreign Countries,000 n/a,000 Total: Estimated Canadian Veteran Population 58,00 600, ,400 Totals may not add due to rounding. Source: Statistics Directorate: 207 Population Estimates Table.2 Estimated Veteran Population by Average Age Service par type Average Age March 207 Second World War Veterans Korean War Veterans Total Estimated War Service Veteran Population Canadian Armed Forces - Regular Forces Canadian Armed Forces - Primary Reserves Total Estimated Canadian Armed Forces Veteran Population Total Estimated Canadian Veteran Population Source: Statistics Directorate: 207 Population Estimates 92 50, , , , , ,300 n/a 658,400 VAC Facts and Figures Book Page 8 September 207

9 Veterans Affairs Canada Since November 200, the Department has been serving more modern-day Canadian Armed Forces Veterans than traditional War Service Veterans. Table.3 Veterans and survivors served by VAC (Unique) VAC Unique Veterans and Survivors by Type War Service Canadian Armed Forces (CAF) Royal Canadian Mounted Police (RCMP) Subtotal: Veterans War Service CAF RCMP Subtotal: Survivors Total: VAC Veterans and Survivors , 207) 49,20 42,239 35,449 29,740 25, ,627 76,446 80,577 83,872 88,30 93, ,295 9,969 0,475,005,743 2, ,03 35,66 33,29 30,326 29,784 30, ,953 65,759 62,72 59,36 55,37 5, ,78 8,06 8,467 8,876 9,257 9, , ,460 7,922 68,828 65,505 6, ,405 20, ,23 99,54 95,289 92, ,358 Source: Statistics Directorate, Client Cube, Sept 207 VAC Unique Veterans and Forecast Survivors by Type War Service 20,000 6,000 2,500 9,700 7,400 CAF 98,00 02,900 07,400,700 5,800 RCMP 3,300 4,00 4,900 5,700 6,400 Subtotal: Veterans 3,400 33,000 34,800 37,00 39,600 War Service 47,600 43,700 39,700 36,700 33,500 CAF 0,000 0,500,000 2,00 3,300 RCMP,00,200,300,700 2,000 Subtotal: Survivors 58,700 55,400 52,000 50,500 48,800 Total: VAC Veterans and Survivors 2 90,00 88,300 86,800 87,600 88,400 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. 2 Totals may not add due to rounding. Actuals as of March 3, 207 Table.4 Total Number of Veterans by Gender, Service Type, and Age - Sept 207 Average Age (March Sept 207 All Veterans by Gender War Service CAF RCMP Total % Total Male Female Total Veterans by Age Total Male Veterans 9,47 83,48,329 3,957 88% 3,480 9,84,702 4,996 2% 22,627 93,295 3,03 28,953 00% Total Female Veterans War Service CAF RCMP Total % Male War Service CAF RCMP Total % Female 29 and under 0,782 26,808 % % , ,267 6% 0,355 24,596 % ,823,375 3,98 0% 0 2, ,800 2% ,36 2,454 22,590 8% 0 3, ,836 3% ,9 3,79 6,90 3% 0,98 286,484 % ,75 2,90 8,96 5% % ,934, ,644 2% ,44 % 90+ 6, ,624 3% 2, ,03 2% Total 9,47 83,48,329 3,957 88% 3,480 9,84,702 4,996 2% Source: Statistics Directorate, Client Cube, Sept 207 VAC Facts and Figures Book Page 9 September 207

10 Table.5 Veterans served by Area Office as of Sept 207 The table below provides a breakdown of Veterans by VAC Area Office and lists Veterans who have active case plans with a departmental Case Manager. Area Office Veterans War Service CAF RCMP Halifax,036 0, ,752,370 Sydney 7,036 99, Nova Scotia,207,799,052 4,058,544 Campbellton , Charlottetown 69,002 82, Saint John 687 6, , NB, PEI and Gaspésie,070 8, ,755,75 Corner Brook St John's 29,46 300, Newfoundland and Labrador 280, , Quebec 32 7, ,502,530 Eastern Quebec 32 7, ,502,530 Gatineau 2, , Montreal,00 2, , St-Jean-sur-Richelieu 96,840 2, Western Quebec,38 6, ,492,02 North Bay 389,454 26, Ottawa,028 6, , Pembroke 87 3,36 7 3, Thunder Bay North Eastern Ontario and Nunavut,95,793,6 4,824,657 Kingston 429 3, ,23 43 Peterborough ,57 07 Toronto 2,36, , Trenton 267 2, , Central Ontario 3,629 9, ,56,227 Hamilton,04, , London 687,59 8 2, Mississauga,846 3, , Windsor , South Western Ontario 4,09 7, , Brandon , Regina ,475 8 Saskatoon , Winnipeg 742 2, , Manitoba and Saskatchewan,86 4,363,309 7, Calgary,63 4,488,296 6, Edmonton 703 5, , Alberta and Northwest Territories,866 0,06 2,95 4,67,34 Kelowna 457, ,56 07 Penticton 648, , Prince George Surrey,6,925,299 4, Vancouver,52, , BC Mainland and Yukon 3,382 5,97 3,485 2, Victoria,502 6, , Vancouver Island and the Islands,502 6, , Foreign Countries 3,044 66,42 95 Total 22,627 93,295 3,03 28,953 2,783 A Case Plan is a set of organized interventions/actions accompanied by a chronological listing of scheduled follow ups and monitoring, which respond to the unmet needs and desired goals of the Veteran. 2 Due to a data warehouse issue, some Veterans served by the Prince George Area Office are reported under Kelowna, Surrey, and Vancouver Area Offices for the Facts and Figures. This will be corrected in December's edition. Source: Statistics Directorate, Client Cube, Sept 207 & Case Management (CM) - Clients with Open Case Plans Total Veterans with Active Case Plans VAC Facts and Figures Book Page 0 September 207

11 Chapter 2: Departmental Spending Table 2. Program and Operating Expenditures The information below illustrates departmental spending (actual and planned). $ Millions Departmental Expenditures (202-3 to ) $6,000.0 $5,000.0 $4,000.0 $34.4 $289.0 $252.2 $250.8 $250.7 $3,000.0 $366.3 $355.9 $340.7 $357. $372.6 $2,000.0 $3,9.8 $3,57.6 $3,036.2 $3,237.9 $3,398.2 $4,576. $4,067.9 $4,227.4 $4,402.3 $4,60.2 $,000.0 $ (A) (A) (A) (A) (A) (P) (P) (P) (P) (P) A = Actual P = Planned Program Expenditures Operating Expenditures Expenditures (in $ millions) Total Program $3,9.8 $3,57.6 $3,036.2 $3,237.9 $3,398.2 Total Operating 2 $366.3 $355.9 $340.7 $357. $372.6 Total: Actual Expenditures 3 $3,486.2 $3,53.6 $3,376.9 $3,595.0 $3,770.8 Source: Public Accounts of Canada Expenditures (in $ millions) Total Program $4,576. $4,067.9 $4,227.4 $4,402.3 $4,60.2 Total Operating 2 $34.4 $289.0 $252.2 $250.8 $250.7 Total: Planned Expenditures $4,890.5 $4,356.9 $4,479.6 $4,653. $4,860.9 Source: Figures provided by Financial Planning / Statistics Directorate, Finance Division Includes Grants and Contributions, Other Health Purchased Services (OHPS) and New Veterans Charter Support Services. 2 Includes: salary & wages, operating, special benefits (Agent Orange, Merchant Navy), Ste. Anne's Hospital (previously reported in OHPS), Remembrance Vignette, Statutory Vote, and Capital (Ste. Anne's renovations). Operating does not include benefits provided to Veterans under Vote operating i.e. New Veterans Charter support services and OHPS. Responsibility for SAH has been transferred to the province of Quebec as of April, Totals may not add due to rounding. Actual Planned VAC Facts and Figures Book Page September 207

12 Table 2.2 Departmental Budget Veterans Affairs Canada s budget for is currently $4.70 billion. Approximately 90% of the Deparment's budget represents payments to Veterans, their families and other program recipients. $5,000,000,000 $4,500,000,000 $4,000,000,000 $3,500,000,000 $3,000,000,000 $2,500,000,000 $2,000,000,000 Adjustments, warrants & transfers² Supp Estimates (C) Supp Estimates (B) Supp Estimates (A) Main Estimates $,500,000,000 $,000,000,000 $500,000,000 $ Main Estimates $3,637,899,334 $3,576,978,766 $3,522,078,75 $3,628,28,702 $4,69,399,582 % change from Previous Year 2.0% -.7% -.5% 3.0% 29.0% Supp Estimates (A) - - $23,779, Supp Estimates (B) $20,89,404 $0,850,080 - $29,96,829 - Supp Estimates (C) $03,8 - $4,40,854 $34,848,828 - Adjustments, warrants & transfers² $2,784,870 $7,6,67 $5,694,995 $2,338,27 $2,27,9 Total Authorities $3,679,977,49 $3,605,440,57 $3,675,963,783 $3,94,430,576 $4,703,526,70 % Increase from Previous Year 0.6% -2.0%.9% 6.5% 20.2% As of September 30, Includes transfers from Treasury Board (i.e. compensation adjustments, operating budget carry forward, government-wide initiatives, etc.). Prepared by: Finance Division VAC Facts and Figures Book Page 2 September 207

13 Chapter 3: Program Expenditure Overview The information below provides a breakdown of departmental spending by program. Table 3. Expenditures by Program Expenditures By Program (in $ millions) Actual as of March 3, Disability Pensions $,633.8 $,562.9 $,473.4 $,404.3 $,33. $655.2 Disability Awards $427.6 $46.4 $472.6 $660.0 $700.0 $,049.0 Other Health Purchased Services $52.6 $503.6 $480.9 $57. $590. $259.5 Veterans Independence Program (Includes Housekeeping & Grounds Maintenance) $380. $429.6 $363. $352.6 $350.2 $60. Earnings Loss $94.7 $27.2 $56.4 $80.3 $269.9 $96.7 Career Impact Allowance (CIA) 2 $0.4 $22.2 $34.2 $5.5 $79.7 $55.9 Canadian Forces Income Support $0.2 $0.3 $0.6 $0.9 $. $0.7 Supplementary Retirement Benefit $0.0 $0.0 $0. $0. $0.3 $0.2 War Veterans Allowance $9.5 $8.5 $8.5 $7.5 $6.5 $3. Rehabilitation and New Veterans Charter Support Services $8.4 $8.5 $2.2 $26.8 $33.5 $6.0 Career Transition Services 3 $.0 $0.0 $0.0 $0.0 $0.0 $0.0 Retirement Income Security Benefit $0.3 $0.5 $0.4 Critical Injury Benefit $7.9 $2.5 $0.4 Family Caregiver Relief Benefit $.3 $2. $.3 Subtotal: Program Expenditures $3,097.3 $3,34.2 $3,0.0 $3,20.6 $3,367.5 $2,398.5 Other Program Expenditures 4 $22.5 $23.4 $25.2 $27.3 $30.7 $23.5 Total Program Expenditures $3,9.8 $3,57.6 $3,036.2 $3,237.9 $3,398.2 $2,422.0 Expenditures By Program (in $ millions) Forecast Disability Pensions $,275.8 $,227. $,75.7 $,34.6 $,04.8 Disability Awards,6 $,677.0 $,042.5 $,099. $,77.3 $,257.3 Other Health Purchased Services $662. $698.4 $739.7 $77.0 $83.4 Veterans Independence Program (Includes Housekeeping & Grounds Maintenance) $355.2 $354.7 $355.0 $348.2 $354.2 Earnings Loss $392.9 $499. $575.0 $647.3 $73.6 Career Impact Allowance (CIA) 2 $8. $47.4 $75.4 $209.8 $245.7 Canadian Forces Income Support $.5 $2. $2.8 $3.5 $4.3 Supplementary Retirement Benefit $0.5 $0.6 $0.8 $0.9 $. War Veterans Allowance $6.0 $5.5 $5. $4.7 $4.4 Rehabilitation and New Veterans Charter Support Services 6 $46.7 $58.8 $67. $73.2 $79.2 Career Transition Services 3 $0.0 $0.0 $0.0 $0.0 $0.0 Retirement Income Security Benefit $. $.4 $.9 $2.3 $2.9 Critical Injury Benefit $2.2 $.6 $.2 $0.9 $0.7 Family Caregiver Relief Benefit $2.9 $0. $0.0 $0.0 $0.0 Subtotal: Program Expenditures $4,542.0 $4,039.3 $4,98.8 $4,373.7 $4,58.6 Other Program Expenditures 4 $34. $28.6 $28.6 $28.6 $28.6 Total Program Expenditures $4,576. $4,067.9 $4,227.4 $4,402.3 $4,60.2 Includes Financial Counseling expenditures. 2 Includes CIA Supplement. 3 Some expenditures are too low to round to millions. Actuals can be found on Table 7. 4 Includes Other Grants & Contributions such as Last Post Fund, Commonwealth War Graves Commission, Treatment Allowances, Assistance Fund, Education Assistance, Gallanty Awards, and Flying Accidents. Also includes Partnership Contributions. 5 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. 6 Includes Budget 207 Planned Program Amendments. i.e. program changes Source: Finance Division, Financial Planning Sept 207 VAC Facts and Figures Book Page 3 September 207

14 Chapter 4: Disability Benefits Disability benefits are financial payments provided to individuals who have a service-related disability. There are two types of disability benefits: Disability Pensions and Disability Awards. Table 4. Disability Benefits Recipients Disability Benefits Recipients Actuals as of March 3, Sept 207 Veterans 2,396,208 09,207 09,54 09,338 08,570 Survivors 62,366 60,352 57,975 55,2 5,999 5,496 Subtotal: Veterans & Survivors 74,762 7,560 67,82 64,266 6,337 60,066 RCMP 0,649,23,85 2,60 3,424 3,942 Total: Recipients 85,4 82,773 78,997 76,876 74,76 74,008 Disability Pensions The Disability Pension Program recognizes and compensates eligible Veterans as well as Canadian Armed Forces members who applied and were eligible for a disability pension prior to April, 2006, and their survivors, dependants and civilians for the effects of a service-related disability and/or death. Compensation is provided in the form of a monthly disability pension. Disability pensioners who are hospitalized or receiving outpatient care for a pensioned condition are eligible to receive an additional allowance for that period. This program also recognizes and compensates those in receipt of a disability pension for the distinct effects that disabilities may have on clothing, on an individual's ability to perform personal care, and exceptional health needs. This is provided through a monthly allowance. This program is now delivered through grants. Table 4.2 Disability Pension Recipients Disability Pension Recipients Actuals as of March 3, Sept 207 Veterans 86,487 80,68 74,943 69,739 64,804 62,423 Survivors 6,90 59,80 57,367 54,409 5,227 50,549 Total Recipients 48,388 40,49 32,30 24,48 6,03 2,972 Attendance Allowance 0,097 8,984 7,753 7,096 6,732 Exceptional Incapacity Allowance,662,642,548,49,524 Clothing Allowance,54,46,379,359,369 Disability Pension Recipients Forecast Veterans 60,500 56,600 53,000 49,800 47,000 Survivors 48,300 45,500 42,400 4,00 39,400 Total Recipients 08,800 02,00 95,400 90,900 86,400 Attendance Allowance 6,200 5,700 5,300 4,900 4,500 Exceptional Incapacity Allowance,500,400,300,300,200 Clothing Allowance,300,300,200,200,00 Excludes RCMP. 2 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. Table 4.3 Disability Pension Expenditures Disability Pension Expenditures Actuals as of March 3, 207 (in $ millions) Sept 207 Veteran Pensions $947. $903.5 $80.7 $768.8 $729.0 n/a 2 Survivor Pensions $57.3 $555.0 $567.5 $548.2 $57.2 n/a 2 Subtotal: Pensions $,58.4 $,458.5 $,378.2 $,37. $,246.2 n/a 2 Total Special Awards $6.3 $06.3 $96.5 $88.6 $85.5 n/a 2 Total Pensions and Special Awards (Includes Adjustments) 3 $,634.6 $,563.6 $,474. $,405.7 $,33.7 $655.2 Disability Pension Expenditures Forecast 4 (in $ millions) Veteran Pensions $697.5 $672. $646.6 $624.2 $605.8 Survivor Pensions $496.2 $477.8 $456.6 $442.2 $434.5 Subtotal: Pensions $,93.7 $,49.9 $,03.2 $,066.4 $,040.3 Total Special Awards $82. $77.2 $72.5 $68.2 $64.4 Total Pensions and Special Awards 5 $,275.8 $,227. $,75.7 $,34.6 $,04.8 Totals may not add due to rounding. 2 Disability Pension and Special Award breakdown provided at fiscal year end only. 3 Includes Gallantry Awards & Flying Accidents, therefore numbers differ from table VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. 5 Excludes Gallantry Awards & Flying Accidents. VAC Facts and Figures Book Page 4 September 207

15 Disability Awards Under the New Veterans Charter in effect since April, 2006, this program recognizes and compensates eligible Canadian Armed Forces members and Veterans, and in some cases surviving spouses/common-law partners and surviving children, for death, detention and noneconomic effects of service related disability including pain and suffering, functional loss and the effects of permanent impairment on the lives of Canadian Armed Forces members, Veterans and their families. As of April, 207, the maximum award is $360,000, depending on the extent of disability. Disability Awards may be paid as a lump-sum payment, annual payments over the number of years of the member/veteran's choosing, or a combination of these two payment options. Table 4.4 Disability Award Recipients Disability Awards Actuals as of March 3, Veterans 38,92 44,765 49,372 55,698 6,759 63,780 Survivors ,86,373,466 Subtotal 39,593 45,65 50,37 56,884 63,32 65,246 Death Benefits Total Awards 39,856 45,939 50,723 57,35 63,599 65,762 Disability Awards Forecast Disability Awards 69,560 75,990 82,20 88,530 94,640 Death Benefits Total Awards 70,00 76,600 82,900 89,300 95,500 Actuals as of March 3, Disability Awards $49. $45.5 $46.6 $643.0 $690.0 n/a 2 Death Benefits $8.5 $9.8 $.2 $7.0 $0.0 n/a 2 Total Awards 3 $427.6 $46.4 $472.6 $660.0 $700.0 $,049.0 Disability Award Expenditures (in $ millions) Forecast Disability Awards $,664.3 $,028.7 $,084.3 $,6.5 $,240.4 Death Benefits $2.7 $3.8 $4.8 $5.8 $6.9 Total Awards $,677.0 $,042.5 $,099. $,77.3 $,257.3 Includes retrospective lump sum DA payments as well as DA max rate adjustments. 2 Disability Award and Death Benefit breakdown provided at fiscal year end only. 3 Totals may not add due to rounding. 4 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. Sept 207 Cumulative number of DA recipients active as of March 3 st (does not include deceased recipients) although not necessarily in receipt of an award payment in a particular fiscal year. 2 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. Table 4.5 Disability Award Expenditures Disability Award Expenditures (in $ millions) Sept 207 Disability Award and Disability Pension Duals The table below provides a breakdown of Veterans and Survivors for those who receive both a Disability Pension and a Disability Award. Table 4.6 Disability Award and Disability Pension Duals Dual Recipients Actuals as of March 3, Sept 207 Veterans 3,003 4,267 5,08 6,283 7,225 7,633 Survivors ,068,035 Total Recipients 3,482 4,870 5,85 7,97 8,293 8,668 Please note that the above clients are included in tables 4. and 4.2 VAC Facts and Figures Book Page 5 September 207

16 Disability Benefit Recipients The table below indicates the disability class (percentage paid out) to Veterans and survivors in receipt of Disability Pension/Award as of September 30, 207. The links below provide the rate tables for which the percentages are paid at: Disability Award - Disability Pension - Table 4.7 Recipients by Disability Class as of September 30, 207 Veterans Survivors Disability Class Disability Pension (DP) Only Disability Pension & Award Disability Award Only Total Disability Disability Benefits Class (98%-00%),542, ,08 5,020 Class 2 (93%-97%) Class 3 (88%-92%) Class 4 (83%-87%) , Class 5 (78%-82%) , Class 6 (73%-77%) , Class 7 (68%-72%) , Class 8 (63%-67%) , Class 9 (58%-62%), ,563,22 Class 0 (53%-57%), ,82,48 Class (48%-52%), ,597 2,323 Class 2 (43%-47%), ,074 3,644,28 Class 3 (38%-42%) 2, ,374 4,989 2,350 Class 4 (33%-37%) 2,889,49,660 5,698 2,457 Class 5 (28%-32%) 4,500,28 2,484 8,265 3,865 Class 6 (23%-27%) 5,459,359 3,225 0,043 4,759 Class 7 (8%-22%) 6,459,356 3,974,789 5,768 Class 8 (3%-7%) 5,939,292 5,780 3,0 4,62 Class 9 (8%-2%) 8, ,756 9,080 5,724 Class 20 (5%-7%) 7, ,654 5,237 6,384 Class 2 (%-4%) 2,87 2 3,602 6, Nil Assessments ,634 Not Available Total 57,739 7,633 46,47 2,59 52,489 Source: Statistics Directorate, Client Cube, Sept 207 VAC Facts and Figures Book Page 6 September 207

17 Table 4.8 Most Common Medical Conditions (Fiscal Year 206-7) The table below is based on the number of Veterans who received a favourable decision for the medical condition related to their service. Ranking All Veterans Canadian Armed Forces Veterans RCMP Veterans Afghanistan Veterans 2 Hearing Loss 2 Tinnitus 3 Post Traumatic Stress Disorder 4 Lumbar Disc Disease 5 Osteoarthritis Knee Hearing Loss Hearing Loss Post Traumatic Stress Disorder Tinnitus Tinnitus Tinnitus Post Traumatic Stress Disorder Lumbar Disc Disease Post Traumatic Stress Disorder Hearing Loss Lumbar Disc Disease Depressive Disorders, including Dysthymia and Major Depression Osteoarthritis Knee Osteoarthritis Knee Lumbar Disc Disease 6 Internal Derangement Knee 7 Cervical Disc Disease Cervical Disc Disease Depressive Disorders, 8 including Dysthymia and Major Osteoarthritis Lumbar Spine Depression 9 Osteoarthritis Lumbar Spine Chronic Mechanical Low Back Pain 0 Chronic Mechanical Low Back Pain Plantar Fasciitis 2 Afghanistan Veterans are also included under CAF Veterans. Source: Listing provided by Statistics Directorate Internal Derangement Knee Cervical Disc Disease Erectile Dysfunction Anxiety Disorders, including Internal Derangement Knee Panic Disorder Depressive Disorders, including Dysthymia and Major Adjustment Disorder Depression Chronic Mechanical Low Back Osteoarthritis Lumbar Spine Pain Table 4.9 Most Common Conditions - First Applications Completed (Fiscal Year 206-7) Cervical Disc Disease The table below represents the number of decisions for fiscal year for each medical condition. Decisions are based on evidence presented and legislated eligibility requirements. Favourable Decisions Rotator Cuff Disease Based on the number of Veterans who have been ruled that the medical condition is related to their service. Unfavourable Decisions Medical Conditions # of Favourable Decisions % of Favourable Decisions # of Unfavourable Decisions % of Unfavourable Decisions Total Decisions Tinnitus Hearing Loss Post Traumatic Stress Disorder Osteoarthritis Knee Lumbar Disc Disease Depressive Disorders Osteoarthritis Hip Osteoarthritis Lumbar Spine Cervical Disc Disease Chronic Mechanical Low Back Pain Source: Top 0 Conditions 4,957 83% 997 7% 3,77 64% 2,088 36%,769 94% 05 6% % 82 6% % 20 4% % 40 22% % 2 20% % 60 4% % 97 23% % 74 2% 5,954 5,805,874, VAC Facts and Figures Book Page 7 September 207

18 Table 4.0 Disability Benefits (First Application) Decisions and Favourable Rates The table below provides the number of decisions rendered on first applications. Note that one application may have multiple conditions listed. Actuals as of March 3, 207 First Applications Sept 207 Applications Favourable (Approved) Decisions 2,709,89,450 7,74 5,445 7,390 Unfavourable (Denied) Decisions 5,538 5,07 2,948 3,279 3,242,4 Total Applications - Decisions Rendered 8,247 6,908 4,398 20,453 8,687 8,80 Favourable Rate (Dockets) % 70% 70% 80% 84% 83% 84% Medical Conditions Favourable (Approved) Decisions 8,56 7,33 6,360 24,802 22,567 0,777 Unfavourable (Denied) Decisions 3,802 2,677 8,37 8,543 8,28 3,596 Total Conditions - Decisions Rendered 3,958 29,80 24,732 33,345 30,848 4,373 Favourable Rate (Conditions) % 57% 58% 66% 74% 73% 75% An application can contain one or more than one condition. Source: Favourable Rate for First Applications, Departmental Reviews and Medical Reassessments, Statistics Directorate Critical Injury Benefit (CIB) The Critical Injury Benefit provides a tax-free lump sum award of $70,000 for Canadian Armed Forces (CAF) members and Veterans who sustained a service-related injury (or developed an acute disease) that occurred as a result of a sudden and single incident after March 3, This benefit is in recognition of the immediate pain and suffering experienced after the traumatic incident. Table 4. Critical Injury Benefit Recipients and Expenditures Critical Injury Benefit (CIB) Actuals as of March 3, Recipients Total Expenditures (in $ millions) $7.9 $2.5 $0.4 Recipients is based on completed application date. Sept 207 Critical Injury Benefit (CIB) Forecast Recipients Total Expenditures (in $ millions) $2.2 $.6 $.2 $0.9 $0.7 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. VAC Facts and Figures Book Page 8 September 207

19 Chapter 5: Health Care Programs Treatment Benefits and Services In recognition of their service to the country, the Treatment Benefits and Services Program provides eligible Veterans, certain Reserve Force personnel, civilians, and their survivors and dependants and the other individuals with access to appropriate treatment benefits for their health needs. Treatment benefits include medical, surgical or dental examinations or treatment; surgical or prosthetic devices and aids and their maintenance; home adaptations to accommodate the use of devices or aids; preventative health care; pharmaceuticals; and travel and other expenses incurred to access these benefits. Table 5. Treatment Benefits Recipients Treatment Benefits Recipients Actuals as of March 3, War Service Veterans 54,986 47,889 4,08 34,593 28,266 Canadian Armed Forces (CAF) Veterans 37,632 40,622 43,065 47,096 5,698 Total : Recipients 92,68 88,5 84,083 8,689 79,964 Treatment Benefits Recipients Forecast War Service Veterans 23,00 8,800 5,000,800 9,200 Canadian Armed Forces (CAF) Veterans 56,600 6,600 66,800 72,200 77,900 Total : Recipients 79,700 80,400 8,800 84,000 87,00 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. VAC Facts and Figures Book Page 9 September 207

20 Table 5.2 Treatment Benefits and Other Health Purchased Services Expenditures The tables below provide the actual and forecasted expenditure breakdown by Program of Choice (POC) and Other Health Purchased Services (OHPS). Treatment Benefits and OHPS Expenditures Actuals as of March 3, 207 (in $ millions) POC - Aids for Daily Living $2.4 $2. $.8 $.7 $.7 POC 2 - Ambulance Services $2.0 $.8 $.5 $.7 $.3 POC 3 - Audio Program $4.5 $40.9 $36.7 $40.8 $44.6 POC 4 - Dental Services $5.9 $4.4 $2.6 $2. $.4 POC 5 - Hospital Services $3.4 $3. $4.0 $5.4 $0.4 POC 6 - Medical Services $0.7 $0.9 $.0 $.8 $3. POC 7 - Medical Supplies $5.6 $5.5 $5.0 $5.0 $4.9 POC 8 - Nursing Services $0.2 $9.3 $8.2 $7.8 $7.6 POC 9 - Oxygen Therapy $2.5 $2.2 $.9 $.7 $2.0 POC 0 - Prescription Drugs $9.8 $82.7 $79.7 $9.6 $34.6 POC - Prosthetics & Orthotics $2.5 $2.4 $2.5 $2.8 $3.5 POC 2 - Related Health Services $3.8 $34.9 $36.9 $49.2 $58.8 POC 3 - Special Equipment $28.4 $25.3 $22.4 $22.0 $20.7 POC 4 - Vision Care $5. $4.3 $3.8 $4.2 $3.6 Subtotal: Treatment Benefits Expenditures 2 $243.8 $229.8 $28.0 $247.8 $308.0 Remainder of OHPS Non-Departmental Hospital Charges (Long Term Care) $208.3 $203.6 $95.8 $95.0 $203.4 Veterans Travel $7.3 $7.8 $7.0 $7.6 $8.2 Other Remainder of OHPS 3 $52.2 $52.4 $50. $56.7 $60.4 Subtotal: OHPS Expenditures $277.8 $273.7 $262.9 $269.3 $282.0 Total: Treatment Benefits and OHPS Expenditures $52.6 $503.6 $480.9 $57. $590. Treatment Benefits and OHPS Expenditures Forecast 4 (in $ millions) POC - Aids for Daily Living $.7 $.8 $.9 $2. $2.5 POC 2 - Ambulance Services $.2 $. $0.9 $0.8 $0.7 POC 3 - Audio Program $48.2 $50.5 $53.4 $56.8 $60.9 POC 4 - Dental Services $0.7 $9.9 $9.3 $8.8 $8.5 POC 5 - Hospital Services $20.4 $22.7 $25.3 $28.0 $3. POC 6 - Medical Services $5. $5.7 $6.3 $7.0 $7.8 POC 7 - Medical Supplies $4.8 $4.7 $4.6 $4.7 $4.9 POC 8 - Nursing Services $7.2 $6.9 $6.6 $6.4 $6.3 POC 9 - Oxygen Therapy $2. $2. $2.2 $2.4 $2.6 POC 0 - Prescription Drugs $64.0 $70.0 $78.3 $89.5 $205.4 POC - Prosthetics & Orthotics $4.4 $4.8 $5.2 $5.6 $6.2 POC 2 - Related Health Services $68. $78.8 $9.4 $06.5 $24.5 POC 3 - Special Equipment $20.8 $20.6 $20.8 $2.5 $22.8 POC 4 - Vision Care $4.0 $3.8 $3.6 $3.5 $3.4 Subtotal: Treatment Benefits Expenditures 2 $359.9 $380.5 $406.8 $440.4 $484.0 Remainder of OHPS Non-Departmental Hospital Charges (Long Term Care) $200.4 $94.5 $88.5 $82.2 $77.3 Veterans Travel $20.5 $22.9 $25.7 $29.0 $32.7 Other Remainder of OHPS 3 $8.2 $00.5 $8.7 $9.5 $9.5 Subtotal: OHPS Expenditures $302.2 $37.9 $332.9 $330.6 $329.4 Total: Treatment Benefits and OHPS Expenditures $662. $698.4 $739.7 $77.0 $83.4 Totals may not add due to rounding. 2 Treatment Benefit expenditures include an adjustment to match FreeBalance. 3 Other Remainder of OHPS includes: Health Professionals; Federal Health Claims Processing Services; Operational Stress Injury Clinics; and other related services expenditures such as Medical Opinions, Foreign Government Recovery Expenditures and Medicare Premiums. 4 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. VAC Facts and Figures Book Page 20 September 207

21 Veterans Independence Program (VIP) The Veterans Independence Program (VIP) provides funding to eligible Veterans, certain Reserve Force personnel, civilians, as well as survivors and primary caregivers so that they can access home and community care and support services to meet their physical, mental and social needs. This assistance allows them to remain healthy and independent in their own homes and communities. The services and benefits which may be funded include home care services and personal care (housekeeping, access to nutrition, grounds maintenance, ambulatory) home adaptations and transportation services. VIP housekeeping and/or grounds maintenance services are available to eligible survivors and primary caregivers. Table 5.3 Veterans Independence Program Recipients VIP Recipients Actuals as of March 3, War Service Veterans 40,494 35,380 30,430 25,675 2,497 Canadian Armed Forces Veterans 24,22 26,449 28,94 30,420 32,92 Subtotal: Veterans 64,66 6,829 58,624 56,095 54,409 Survivors 38,379 39,766 38,098 37,463 36,445 Total VIP Recipients 02,995 0,595 96,722 93,558 90,854 VIP Recipients Forecast War Service Veterans 7,600 4,00,00 7,200 5,500 Canadian Armed Forces Veterans 35,800 37,700 39,400 4,000 42,700 Subtotal: Veterans 53,400 5,800 50,500 48,300 48,00 Survivors 35,900 35,00 34,000 32,700 3,300 Total VIP Recipients 89,300 86,800 84,500 8,000 79,400 Totals may not add due to rounding. 2 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. VAC Facts and Figures Book Page 2 September 207

22 Table 5.4 Veterans Independence Program Expenditures The tables below provide the actual and forecasted expenditure breakdown by the services and benefits included in the Veterans Independence Program. VIP Expenditures (in $ millions) Actuals as of March 3, Ambulatory Care $0.9 $0.8 $0.6 $0.6 $0.4 Health and Support Services $0.4 $0.5 $0.4 $0.4 $0.9 Access to Nutrition $8.7 $7.8 $7.2 $6.4 $6.0 Personal Care $25. $24.9 $23.0 $23.2 $25.0 Housekeeping $208.6 $75.9 $0.4 $0.0 $0.0 Grounds Maintenance $50. $9.9 $0. $0.0 $0.0 Transportation Services $.6 $.3 $.0 $0.8 $0.7 Home Adaptations $0.7 $0.6 $0.8 $0.9 $.5 Adult Residential Care $0. $0.0 $0.0 $0.0 $0.0 Intermediate Care $55.5 $52.5 $49.0 $48.9 $46.7 Subtotal: Contributions $35.7 $84. $82.6 $8.2 $8.3 Housekeeping & Grounds Maintenance Grants 2 $28.4 $245.6 $280.5 $27.3 $268.8 Total: VIP Expenditures $380. $429.6 $363. $352.6 $350.2 VIP Expenditures (in $ millions) Forecast Ambulatory Care $0.5 $0.4 $0.4 $0.4 $0.4 Health and Support Services $.0 $.0 $.0 $.0 $.0 Access to Nutrition $5.7 $5.2 $4.9 $4.2 $4.0 Personal Care $23.8 $22. $20.7 $8.3 $7.9 Transportation Services $0.6 $0.5 $0.4 $0.3 $0.3 Home Adaptations $.6 $.7 $.8 $.9 $2.0 Adult Residential Care $0.0 $0.0 $0.0 $0.0 $0.0 Intermediate Care $46.2 $44.8 $44.0 $4.4 $42.2 Subtotal: Contributions $79.3 $75.8 $73.2 $67.5 $67.8 Housekeeping (Grants) $208.0 $208.6 $209.2 $206.4 $209.0 Grounds Maintenance (Grants) $68.0 $70.3 $72.7 $74.5 $77.5 Subtotal: Grants $276.0 $279.0 $28.9 $280.8 $286.5 Total: VIP Expenditures $355.3 $354.8 $355. $348.3 $354.3 Totals may not add due to rounding. 2 On January, 203, the housekeeping and grounds maintenance services began converting from a reimbursement to a grant program. The conversion of clients to the grant took approximately twelve-months, but expenditures under the reimbursement program continued into as under the Veterans Health Care Regulations (VHCR). Clients have up to 8 months to submit receipts. 3 VAC Client and Expenditure Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. VAC Facts and Figures Book Page 22 September 207

23 Long Term Care Through the Long Term Care Program and the Intermediate Care component of the Veterans Independence Program, the Department provides financial support to eligible war Veterans and Canadian Armed Forces Veterans who need long term/nursing home care, or short term (respite) care. These programs work in collaboration with provincial, regional or local health authorities and long-term care facilities to ensure Veterans are supported in an appropriate long term care setting that meets their individual needs. To be eligible for financial support, Veterans must be assessed as needing long-term care by a health care professional as well as meet service eligibility requirements. Eligible Veterans may qualify for financial support in two types of long term care settings: Community beds located in nursing homes and other residential/long term care facilities found in many communities across Canada. Depending on Veteran eligibility, these beds can be funded through either OHPS or VIP. Contract beds, also referred to as priority access beds, which are allocated to more than 60 health care facilities where the Department has a contractual arrangement with the province, health authority, and/or facility to provide priority access to a designated number of beds for war Veterans. These beds are funded exclusively through the OHPS allotment. The type of setting in which Veterans can receive departmental support varies depending on type and location of military service, income, health care need, and whether their need for long term care is linked to a service related disability/illness. Some nursing homes and other residential/long-term care facilities provide care to Veterans in contract as well as community beds within the same facility. Table 5.5 Long Term Care (LTC) Recipients and Expenditures Care Settings Actuals as of March 3, Sept 207 Veterans in Departmental Beds n/a n/a Veterans in Contract Beds 2,557 2,450 2,252 2,78 2,57 2,034 Veterans in Community Beds (LTC funded) 2,36 2,0,796,522,247,280 Veterans in Community Beds (VIP funded) 3,299 2,858 2,536 2,439 2,326 2,254 Total : Veterans in LTC Beds 8,52 7,659 6,909 6,44 5,730 5,568 Veterans in Departmental Beds $68.7 $63.0 $63.8 $70.8 n/a n/a 3 Veterans in Contract Beds $74.5 $74.9 $70.7 $7.0 $83. n/a 3 Veterans in Community Beds (LTC funded) $33.8 $28.7 $25. $24.0 $20.3 n/a 3 Veterans in Community Beds (VIP funded) $55.7 $52.5 $49. $48.9 $46.7 n/a 3 Subtotal : LTC Facility Funding $332.7 $39. $308.7 $34.7 $250. n/a 3 Additional Funding: Ste. Anne's Hospital $0.0 $0.0 $0.0 $0.0 $ n/a 3 Total: LTC Expenditures $332.7 $39. $308.7 $34.7 $305.8 n/a 3 Care Settings Forecast Veterans in Contract Beds 2,040,87,669,37,02 Veterans in Community Beds (LTC funded), Veterans in Community Beds (VIP funded) 2,44 2,00,908,87,77 Total: Forecasted Veterans in LTC Beds 5,264 4,806 4,355 3,752 3,279 Veterans in Contract Beds $83.2 $79.3 $75.2 $7.0 $68.2 Veterans in Community Beds (LTC funded) $7.2 $5.2 $3.3 $.2 $9. Veterans in Community Beds (VIP funded) $46.2 $44.8 $44.0 $4.4 $42.2 Total: Forecasted LTC Funding $246.6 $239.3 $232.5 $223.6 $29.5 Note: Contract Beds are funded through OHPS, while Community Beds are funded through OHPS and VIP. Responsibility for departmental beds at SAH transferred to the Province of Quebec as of April, 206, and are now contract beds. 2 The $55.7M paid to SAH is part of negotiated transfer costs; per diems for eligible Veteran Residents are captured under Contract Beds. 3 Actual expenditures are only available at fiscal year end. 4 Long Term Care Forecast 208-9, prepared in October 207 by the Statistics Directorate, Finance. VAC Facts and Figures Book Page 23 September 207